Predictors of binge eating disorder and the impact on the quality of life in patients with severe obesity before bariatric surgery

Year 2022, , 249 - 254, 15.03.2022

Eser Sağaltıcı , Cenk Ural , Hasan Belli , Mahir Akbudak Şengül Şahin

https://doi.org/10.16899/jcm.1011364

Abstract

Aim: Binge eating disorder (BED) is the most common eating disorder among bariatric surgery candidates. BED may pose a risk to postsurgical outcomes. This study aims to determine the predictors of BED and the impact on the psychiatric comorbidity and quality of life for patients with severe obesity who underwent bariatric surgery. Material and Methods: A total of 207 patients with severe obesity who underwent bariatric surgery were included. Face-to-face psychiatric interviews were performed to diagnose BED according to the DSM-5 diagnostic criteria. A sociodemographic and clinical form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), body image scale (BIS), and short form-36 health survey were administered to the participants. Results: The rate of BED was determined as 30.9%. BED was associated with gender (female), lifetime suicidal ideation, previous suicide attempts, age of onset of obesity and the age of onset of dieting. Patients with BED presented with poor scores in BDI, BAI, BIS, and most domains of quality of life. Conclusion: Decreased BIS score, younger ages of onset for dieting, and previous suicide attempts predicted BED. The recognition of factors involved in the development of BED in patients with severe obesity will improve the effectiveness of treatment options for these patients

Keywords

Binge eating disorder, obesity, bariatric surgery, quality of life, psychiatric comorbidity, predictors

Bariatrik cerrahi öncesi şiddetli obezitesi olan hastalarda tıkınırcasına yeme bozukluğunun belirleyicileri ve yaşam kalitesi üzerine etkileri

Abstract

Amaç: Tıkınırcasına yeme bozukluğu (TYB), obezite cerrahisi adayları arasında en sık görülen yeme bozukluğudur. TYB, ameliyat sonrası sonuçlar için risk oluşturabilir. Bu çalışma, bariatrik cerrahi uygulanan şiddetli obezitesi olan hastalarda TYB'nin yordayıcılarını ve psikiyatrik komorbidite ve yaşam kalitesine etkisini belirlemeyi amaçlamaktadır.
Gereç ve Yöntemler: Bariatrik cerrahi uygulanan toplam 207 şiddetli obezite hastası çalışmaya dâhil edildi. DSM-5 tanı ölçütlerine göre TYB tanısı için yüz yüze psikiyatrik görüşmeler yapılmıştır. Katılımcılara sosyodemografik ve klinik form, Beck Depresyon Envanteri (BDE), Beck Anksiyete Envanteri (BAE), Beden imajı Ölçeği (BİÖ) ve kısa form-36 sağlık anketi uygulandı.
Bulgular: TYB oranı %30,9 olarak belirlendi. TYB cinsiyet (kadın), yaşam boyu intihar düşüncesi, önceki intihar girişimleri, obezite başlangıç yaşı ve diyete başlama yaşı ile ilişkiliydi. TYB'li hastaların BDE, BAE, BİÖ ölçekleri ve yaşam kalitesinin çoğu alanında düşük puanlar saptandı.
Sonuç: Düşük beden algısı, daha genç diyete başlama yaşı ve önceki intihar girişimleri TYB’nin yordayıcı faktörleridir. Şiddetli obezitesi olan hastalarda TYB gelişiminde rol oynayan faktörlerin tanınması, bu hastalar için tedavi seçeneklerinin etkinliğini artıracaktır.

Keywords

Tıkınırcasına yeme bozukluğu, obezite, bariatrik cerrahi, yaşam kalitesi, psikiyatrik eştanı, yordayıcılar

References

• 1. O’Brien PE, Hindle A, Brennan L, et al. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019;29(1):3-14.
• 2. Tess BH, Maximiano-Ferreira L, Pajecki D, Wang Y. Bariatric surgery and binge eating disorder: should surgeons care about it? A literature review of prevalence and assessment tools. Arq Gastroenterol. 2019;56(1):55-60.
• 3. Dawes AJ, Maggard-Gibbons M, Maher AR, et al. Mental health conditions among patients seeking and undergoing bariatric surgery. JAMA. 2016;315(2):150.
• 4. Meany G, Conceição E, Mitchell JE. Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery. Eur Eat Disorders Rev. 2014;22(2):87-91.
• 5. Qian J, Hu Q, Wan Y, et al. Prevalence of eating disorders in the general population: a systematic review. Shanghai Arch Psychiatry. 2013;25(4):212-223.
• 6. Spitzer RL, Yanovski S, Wadden T, et al. Binge eating disorder: its further validation in a multisite study. Int J Eat Disord. 1993;13(2):137-153.
• 7. Forhan M, Gill SV. Obesity, functional mobility and quality of life. Best Pract Res Clin Endocrinol Metab. 2013;27(2):129-137.
• 8. Sarwer DB, Lavery M, Spitzer JC. A review of the relationships between extreme obesity, quality of life, and sexual function. Obes Surg. 2012;22(4):668-676.
• 9. De Zwaan M, Mitchell JE, Howell LM, et al. Two measures of health-related quality of life in morbid obesity. Obes Res. 2002;10(11):1143-1151.
• 10. Ágh T, Kovács G, Pawaskar M, Supina D, Inotai A, Vokó Z. Epidemiology, health-related quality of life and economic burden of binge eating disorder: a systematic literature review. Eat Weight Disord. 2015;20(1):1-12.
• 11. Rieger E, Wilfley DE, Stein RI, Marino V, Crow SJ. A comparison of quality of life in obese individuals with and without binge eating disorder. Int J Eat Disord. 2005;37(3):234-240.
• 12. Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication [published correction appears in Biol Psychiatry. 2012 Jul 15;72(2):164]. Biol Psychiatry. 2007;61(3):348-358.
• 13. Jones-Corneille LR, Wadden TA, Sarwer DB, et al. Axis I psychopathology in bariatric surgery candidates with and without binge eating disorder: results of structured clinical interviews. Obes Surg. 2012;22(3):389-397.
• 14. Bean MK, Stewart K, Olbrisch ME. Obesity in America: implications for clinical and health psychologists. J ClinPsychol Med Settings. 2008;15(3):214-224.
• 15. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-571.
• 16. Hisli N. A reliability and validity study of Beck Depression Inventory in a university student sample. J Psychol. 1989;7:3-13.
• 17. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-897.
• 18. Ulusoy M, Sahin NH, Erkmen H. The Beck Anxiety Inventory: psychometric properties. J CognPsychother. 1998;12(2):163-172.
• 19. Secord PF, Jourard SM. The appraisal of body-cathexis: body-cathexis and the self. J Consult Psychol. 1953;17(5):343-347.
• 20. Hovardaoğlu S, Özdemir YD. VücutAlgısıÖlçeği’ningüvenirlikvegeçerlikçalışması/Şizofrenikve major depresifhastalarınbedenimgelerindendoyumdüzeyleri.[YayımlanmamışYüksekLisansTezi]. Ankara: GaziÜniversitesiSosyalBilimlerEnstitüsü. (1990).
• 21. American Psychiatric Association, & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, VA.
• 22. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
• 23. Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. Kısa form-36’nın (KF-36) Türkçeversiyonunungüvenilirliğivegeçerliliği. İlaçveTedaviDergisi. 1999;12(2):102–106.
• 24. Sheehan DV, Herman BK. The Psychological and Medical Factors Associated With Untreated Binge Eating Disorder. Prim Care Companion CNS Disord. 2015;17(2):10.4088/PCC.14r01732. Published 2015 Apr 23.
• 25. Allison KC, Wadden TA, Sarwer DB, et al. Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: prevalence and related features. Obesity (Silver Spring). 2006;14Suppl 2:77S-82S.
• 26. Kessler RC, Berglund PA, Chiu WT, et al. The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry. 2013;73(9):904-914.
• 27. Montano CB, Rasgon NL, Herman BK. Diagnosing binge eating disorder in a primary care setting. Postgrad Med. 2016;128(1):115-123.
• 28. Carano A, De Berardis D, Campanella D, et al. Alexithymia and suicide ideation in a sample of patients with binge eating disorder. J PsychiatrPract. 2012;18(1):5-11.
• 29. Pisetsky EM, Thornton LM, Lichtenstein P, Pedersen NL, Bulik CM. Suicide attempts in women with eating disorders. J Abnorm Psychol. 2013;122(4):1042-1056.
• 30. Grilo CM, Masheb RM. Onset of dieting vs binge eating in outpatients with binge eating disorder. Int J ObesRelatMetabDisord. 2000;24(4):404-409.
• 31. Cena H, Stanford FC, Ochner L, et al. Association of a history of childhood-onset obesity and dieting with eating disorders. Eat Disord. 2017;25(3):216-229.
• 32. Fandiño J, Moreira RO, Preissler C, et al. Impact of binge eating disorder in the psychopathological profile of obese women. Compr Psychiatry. 2010;51(2):110-114.
• 33. Mazzeo SE, Saunders R, Mitchell KS. Gender and binge eating among bariatric surgery candidates. Eat Behav. 2006;7(1):47-52.
• 34. Bianciardi E, Di Lorenzo G, Niolu C, et al. Body image dissatisfaction in individuals with obesity seeking bariatric surgery: exploring the burden of new mediating factors. RivPsichiatr. 2019;54(1):8-17.
• 35. Ahrberg M, Trojca D, Nasrawi N, Vocks S. Body image disturbance in binge eating disorder: a review. Eur Eat Disord Rev. 2011;19(5):375-381.
• 36. de Man Lapidoth J, Ghaderi A, Norring C. Eating disorders and disordered eating among patients seeking non-surgical weight-loss treatment in Sweden. Eat Behav. 2006;7(1):15-26.
• 37. Jenkins PE, Hoste RR, Meyer C, Blissett JM. Eating disorders and quality of life: a review of the literature. ClinPsychol Rev. 2011;31(1):113-121.
• 38. Hsu LK, Mulliken B, McDonagh B, et al. Binge eating disorder in extreme obesity. Int J ObesRelatMetabDisord. 2002;26(10):1398-1403.
• 39. vanZutven K, Mond J, Latner J, Rodgers B. Obesity and psychosocial impairment: mediating roles of health status, weight/shape concerns and binge eating in a community sample of women and men. Int J Obes (Lond). 2015;39(2):346-352.
• 40. Kolotkin RL, Crosby RD, Williams GR. Health-related quality of life varies among obese subgroups. Obes Res. 2002;10(8):748-756.
• 41. Ul-Haq Z, Mackay DF, Fenwick E, Pell JP. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obesity (Silver Spring). 2013;21(3):E322-E327.
• 42. Sandberg RM, Dahl JK, Vedul-Kjelsås E, et al. Health-related quality of life in obese presurgery patients with and without binge eating disorder, and subdiagnostic binge eating disorders. J Obes. 2013;2013:878310.
• 43. vanHout GC, van Oudheusden I, van Heck GL. Psychological profile of the morbidly obese. Obes Surg. 2004;14(5):579-588.
• 44. Mond JM, Hay PJ, Rodgers B, Owen C, Beumont PJ. Assessing quality of life in eating disorder patients. Qual Life Res. 2005;14(1):171-178.
• 45. Stice E, Presnell K, Spangler D. Risk factors for binge eating onset in adolescent girls: a 2-year prospective investigation. Health Psychol. 2002;21(2):131-138.
• 46. Lewer M, Bauer A, Hartmann AS, Vocks S. Different Facets of Body Image Disturbance in Binge Eating Disorder: A Review. Nutrients. 2017;9(12):1294.
• 47. Goldschmidt AB, Wall MM, Loth KA, Bucchianeri MM, Neumark-Sztainer D. The course of binge eating from adolescence to young adulthood. Health Psychol. 2014;33(5):457-460.
• 48. Goldschmidt AB, Loth KA, MacLehose RF, Pisetsky EM, Berge JM, Neumark-Sztainer D. Overeating with and without loss of control: Associations with weight status, weight-related characteristics, and psychosocial health. Int J Eat Disord. 2015;48(8):1150-1157.
• 49. Stice E, Gau JM, Rohde P, Shaw H. Risk factors that predict future onset of each DSM-5 eating disorder: Predictive specificity in high-risk adolescent females. J Abnorm Psychol. 2017;126(1):38-51.
• 50. Borgès Da Silva V, Borgès Da Silva R, Prud'homme A, Campan P, Azorin JM, Belzeaux R. Association between binge eating disorder and psychiatric comorbidity profiles in patients with obesity seeking bariatric surgery. Compr Psychiatry. 2018;87:79-83.